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UNDERGROU TANK PROGRAM OFFICIAL INS TION REPORT <br />SAN JOAQUIN HEALTH DISTRICM <br />1601 E. HAZELTON AVE. <br />COUNTY NAME . STOCKTON, CA 95205 COUNTY #-B <br />��►/Yi, So a. PHONE NO. 468-3423 <br />TEMPORARY TANK CLOSURE . <br />SITE NAME: (�'A -F&o <br />I <br />W w&A <br />38 <br />INSPECTION DATE:a-3- 73 <br />SITE ADDRESS: �0 0 �� <br />/� <br />%��� % <br />CITY/STATE/ZIP �Gf�/ C4 g5R67 <br />ACCESS LOCATIONS SEALED <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO TANK <br />TANK (� <br />TANK '7 TANK <br />43 <br />FORM A AND/OR B SUBMITTED? <br />OWNER/OPERATOR MONITORING <br />COMPUTER <br />COMPUTER <br />COMPUTER COMPUTER <br />PERMANENT TANK CLOSURE <br />Iloilo= <br />NUMBER <br />NUMBER <br />NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # <br />' D a- �� :'i.r2..� /0 9-y <br />PER # <br />PER # <br />PER # PER # <br />FLAMMABLE VAPORS REMOVED <br />I <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE EXP. DATE <br />52 <br />OPERATIONAL TANK <br />TANK CONTENTS <br />153 <br />54 <br />IMPROPER ABANDONMENT <br />MAJOR MINORI <br />156 <br />Elm <br />PERMIT TO OPERATE <br />1 <br />2 <br />FOLLOWS: �IT� <br />' C-� <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />µ <br />APPROVED MONITORING SYSTEM <br />9 <br />10� <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14�� <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED 17 18 <br />PIPING <br />19 <br />20 <br />m <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING 23 24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />130 <br />APPROVED TANK REPAIRS 31 32~ <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34� <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE . <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />Iloilo= <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />153 <br />54 <br />IMPROPER ABANDONMENT <br />155 <br />156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: �IT� <br />' C-� <br />MAJOR 0 MINOR 58 <br />VIOL. VIOL. LJ <br />NO 59 <br />VIOL. BY <br />OFFICE: <br />INSP: <br />RECEIVED BY: Lw , <br />TITLE: <br />PHONE: <br />BECK: <br />HUT -3 ORIGINAL 5i$$ �M <br />